Billing Specialist I

DIVISION:       Administration / Patient Financial Services

GENERAL RESPONSIBILITIES      

Collecting and posting insurance, patient, and vendor payments to patient accounts. Responsible for the billing and collection of selected TR contracts and agreements.

ESSENTIAL DUTIES

• Manages billing responsibilities for certain TR contracts and agreements.
• Reconciles charges from outside laboratory services to patient accounts.
• Enters contractual write offs and payments from third-party payors. Transfers balances remaining after 3rd party payments to secondary payor or patient and applies appropriate slides.
• Tracks, monitors and pursues payment from patients who have signed a payment agreement.
• Enters sliding fee reductions, bad debt write offs, charity write offs, zero pay adjustments into CPS.
• Posts patient payments received via the mail, phone, and online payment systems.
• Processes refunds on credit balance accounts only after reviewing and verifying accuracy of account and checking balances on other family accounts. Generates refund request if appropriate and submits to Accounting department. Posts refund transactions approved by accounting department to patient account.
• Is first on answering phones for the department, handles calls and portal messages within scope of knowledge and transfers all other calls or messages to appropriate person.
• Alerts Billing Specialist II or Patient Financial Services Manager to inconsistencies or concerns in payments, such as double payments, charges that are not fully covered, and monitors receipt of deposits..
• Manages notes on accounts, statement suspension and release, final notice letters and other correspondence on practice management system after data entering write offs accounts turned to collections and other accounts assigned by Patient Financial Services Manager.  
• Manages all return mail, including but not limited to; researching for better addresses, suspending statements, handling balances on accounts with bad addresses and works all bad address reports from the statement processing company.
• Scans all documents to the correct accounts for all staff in the Patient Financial Services department. This includes mail correspondence, EOBs for denials and all other paperwork as necessary.
• Updates patient information in practice management system as appropriate.

MINIMUM QUALIFICATIONS

• Ability to read and follow oral and written instruction.
• Must be able to use hands repetitively with good dexterity.
• Strong phone skills able to hear and speak clearly.
• Ability to work with minimal supervision and direction.
• Highly ethical and non-judgmental.
• Basic bookkeeping knowledge.
• Proficient With Microsoft Office products
• Ability to multi-task.

PREFERRED QUALIFICATIONS

• One to three years of medical office experience.
• Knowledge of diagnosis (ICD) and procedure (CPT) coding systems. Such knowledge is typically obtained from working in a medical office setting or through other educational background or experience.
• Bilingual in English/Spanish.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

Current Openings for Billing Specialist I Jobs at Terry Reilly Health Services